Traumatic intracranial aneurysm in blunt trauma

Bardiya Zangbar, Julie Wynne, Bellal Joseph, Viraj Pandit, David Meyer, Narong Kulvatunyou, Mazhar Khalil, Terence OKeeffe, Andrew Tang, Michael Lemole, Randall S. Friese, Peter Rhee

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Computed Tomography Angiography (CTA) is being used to identify traumatic intracranial aneurysms (TICA) in patients with findings such as skull fracture and intracranial haemorrhage on initial Computed Tomography (CT) scans after blunt traumatic brain injury (TBI). However, the incidence of TICA in patients with blunt TBI is unknown. The aim of this study is to report the incidence of TICA in patients with blunt TBI and to assess the utility of CTA in detecting these lesions. Methods: A 10-year retrospective study (2003-2012) was performed at a Level 1 trauma centre. All patients with blunt TBI who had an initial non-contrasted head CT scan and a follow-up head CTA were included. Head CTAs were then reviewed by a single investigator and TICAs were identified. The primary outcome measure was incidence of TICA in blunt TBI. Results: A total of 10 257 patients with blunt TBI were identified, out of which 459 patients were included in the analysis. Mean age was 47.3±22.5, the majority were male (65.1%) and median ISS was 16 [9-25]. Thirty-six patients (7.8%) had intracranial aneurysm, of which three patients (0.65%) had TICAs. Conclusion: The incidence of traumatic intracranial aneurysm was exceedingly low (0.65%) over 10-years. This study adds to the growing literature questioning the empiric use of CTA for detecting vascular injuries in patients with blunt TBI.

Original languageEnglish (US)
Pages (from-to)601-606
Number of pages6
JournalBrain Injury
Volume29
Issue number5
DOIs
StatePublished - May 1 2015
Externally publishedYes

Fingerprint

Intracranial Aneurysm
Wounds and Injuries
Incidence
Head
Tomography
Skull Fractures
Trauma
Intracranial Hemorrhages
Trauma Centers
Vascular System Injuries
antineoplaston A10
Traumatic Brain Injury
Computed Tomography
Retrospective Studies
Research Personnel
Outcome Assessment (Health Care)
Computed Tomography Angiography

Keywords

  • Blunt traumatic brain injury
  • Computed tomography angiography
  • Psuedoaneurysm
  • Traumatic brain injury
  • Traumatic intracranial aneurysm

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

Cite this

Zangbar, B., Wynne, J., Joseph, B., Pandit, V., Meyer, D., Kulvatunyou, N., ... Rhee, P. (2015). Traumatic intracranial aneurysm in blunt trauma. Brain Injury, 29(5), 601-606. https://doi.org/10.3109/02699052.2015.1004559

Traumatic intracranial aneurysm in blunt trauma. / Zangbar, Bardiya; Wynne, Julie; Joseph, Bellal; Pandit, Viraj; Meyer, David; Kulvatunyou, Narong; Khalil, Mazhar; OKeeffe, Terence; Tang, Andrew; Lemole, Michael; Friese, Randall S.; Rhee, Peter.

In: Brain Injury, Vol. 29, No. 5, 01.05.2015, p. 601-606.

Research output: Contribution to journalArticle

Zangbar, B, Wynne, J, Joseph, B, Pandit, V, Meyer, D, Kulvatunyou, N, Khalil, M, OKeeffe, T, Tang, A, Lemole, M, Friese, RS & Rhee, P 2015, 'Traumatic intracranial aneurysm in blunt trauma', Brain Injury, vol. 29, no. 5, pp. 601-606. https://doi.org/10.3109/02699052.2015.1004559
Zangbar B, Wynne J, Joseph B, Pandit V, Meyer D, Kulvatunyou N et al. Traumatic intracranial aneurysm in blunt trauma. Brain Injury. 2015 May 1;29(5):601-606. https://doi.org/10.3109/02699052.2015.1004559
Zangbar, Bardiya ; Wynne, Julie ; Joseph, Bellal ; Pandit, Viraj ; Meyer, David ; Kulvatunyou, Narong ; Khalil, Mazhar ; OKeeffe, Terence ; Tang, Andrew ; Lemole, Michael ; Friese, Randall S. ; Rhee, Peter. / Traumatic intracranial aneurysm in blunt trauma. In: Brain Injury. 2015 ; Vol. 29, No. 5. pp. 601-606.
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AU - Joseph, Bellal

AU - Pandit, Viraj

AU - Meyer, David

AU - Kulvatunyou, Narong

AU - Khalil, Mazhar

AU - OKeeffe, Terence

AU - Tang, Andrew

AU - Lemole, Michael

AU - Friese, Randall S.

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